Questionnaire

Before You Begin

This questionnaire helps me understand your son’s situation in context. There are no right or wrong answers – I’m looking for honest detail about patterns, not judgments about parenting. The more specific you can be, the more useful my analysis will be.

All responses are strictly confidential.

Please note: This guidance is educational and strategic in nature, not therapy or clinical treatment. If your son is experiencing mental health crisis, self-harm ideation, substance abuse, or other serious clinical issues, professional therapeutic intervention is necessary and should be sought immediately.

Parent/Guardian Name *

Best Email For Correspondence *

Your son's age *

how and who

Current situation *

Please describe his current daily reality: education status, work situation, living arrangements, typical daily structure.

When did you first notice things shifting? *

Tell me about the moment or period when you realised something had changed. What was different?

Describe a recent conversation with your son that felt difficult or stuck *

What was it about? What did each of you say? How did it end?

Walk me through a typical Tuesday for him, from waking to sleeping. *

Be as specific as you can: wake time, what he does, when, for how long, who with, etc.

Give me an example of a time in the last month when he showed capability, initiative, or genuine engagement *

Even a small moment. What happened? What was he doing?

What does he spend his time on voluntarily? What does he choose when he has free choice? *

Who are his friends/social connections? How often does he see them? *

Include online and in-person. How do these friendships function?

What responsibilities or challenges does he currently handle well? *

Where do you see competence, even if limited?

Where does he struggle most obviously? *

What tasks, situations, or demands consistently defeat him?

How would you describe the relationship between your son and his other parent (if applicable)?

What worked, even temporarily? What made things worse? *

What have you specifically been told by professionals (if any)?

Diagnoses, recommendations, observations.

Number of children in your family. *

Where does this son fall in the sibling order? *

e.g., eldest, middle, youngest, only child.

Are there other siblings who are thriving? Struggling? *

Brief sketch of the sibling landscape.

What's your family structure? *

What are the household rules and expectations around contribution?

Chores, rent, cooking, cleaning, financial contribution, etc. What’s expected and what actually happens?

How do decisions about his life get made? *

Who decides? How much agency does he have? What’s negotiable vs. non-negotiable?

What's your biggest fear about his current path? *

What do you think HE would say is the main issue or problem? *

Try to answer from his perspective, not yours.

If nothing changed, where do you see him in two years? *

What would meaningful progress look like in six months? *

Be specific. What would you observe that would tell you things are moving in the right direction?

What are your son's genuine strengths? *

What is he actually good at? What does he value? Where has he shown capability in the past?

Why are you reaching out now? What prompted this? *

Are there any time-sensitive factors or upcoming transitions? *

tarting/leaving school, moving, legal issues, health concerns, deadlines, etc.

On a scale of 1-10, how ready do you think your son is to engage with change?

Selected Value: 1

1 = Completely resistant/unaware, 10 = Actively seeking help/change

On a scale of 1-10, how ready are you to examine your own role in family patterns?

Selected Value: 0

1 = Just need advice for fixing him, 10 = Open to changing how I approach things

Does your son know you're reaching out for guidance about his situation? *

What type of guidance would be most useful right now? *

Understanding what’s actually happening beneath the surface
Specific recommendations for immediate next steps
Comprehensive analysis of patterns and long-term strategy
Ongoing support through a transition period
Not sure yet – need to understand options

How did you hear about my work?

Is there anything else you think I should know?